Jennifer Marie King, PHYSICAL THERAPIST A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2051290 Issued in TX

Practice address

106 Hickory St
Bullard, TX 75757

Phone

(903) 894-8254

NPI assigned

Dec 21, 2007

Last updated

Dec 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1346424678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HICKORY RD",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757575064",
            "telephone_number": "903-894-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HICKORY ST",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "75757",
            "telephone_number": "903-894-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2051290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Illsley, RPH
• Kellie Jaymes, LMT
• Nathan C. Johnson, D.M.D
• Jorden Investments LLC
• Lindi Kessinger, OM
• Teresa F Knous
• Kristi's Community Care PLLC
• April Lake, CCC-SLP
• Micaela McSheffery Lewis
• Richard Grant Lindley II, D.D.S.

• Physical Therapy Assistant in Bullard, TX
• Providers in Bullard, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.